Individual provider Active NPI

Carl W Ogletree, M.D.

  • Urology Physician
  • Sugar Land, TX
National Provider Identifier
1194778258
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H3629 Issued in TX
Practice address
15200 Southwest Fwy
Suite 380
Sugar Land, TX 77478-3845
Phone
(281) 565-3569
Fax
(281) 565-1911
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X H3629 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy
Suite 380
Sugar Land, TX 77478-3845

Mailing address

PO Box 1400
Houston, TX 77251-1400
Phone (713) 351-0644

Other identifiers 1

IdentifierTypeStateIssuer
034553001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000122 TX Practitioner - Urology 8426055179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Metro UrologyGroup PAC ID 3971508235, 31 clinicians

Practice addresses (Care Compare)

4223 Richmond Ave
Houston, TX 77027-6856

6560 Fannin St
Suite 1440
Houston, TX 77030-2713
Phone (713) 790-9700

Hospital & facility affiliations

  • HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Metro Urology CurrentSince Oct 15, 2006 Accepting new patients

Locations

4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630

1220 Blalock Rd
Ste 100
Houston, TX 77055
Phone (713) 464-3343

6560 Fannin St
Ste 1440
Houston, TX 77030
Phone (713) 523-7843

10970 Shadow Creek Pkwy
#25
Pearland, TX 77584
Phone (713) 634-4470

7909 Fredericksburg Rd
Ste 150
San Antonio, TX 78229
Phone (210) 521-7700

15200 Southwest Fwy
Ste 380
Sugar Land, TX 77478
Phone (281) 565-3569

Interoperability endpoints

  • Direct secure messaging: carl.ogletree.1@15454.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1194778258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772511400",
            "telephone_number": "713-351-0644",
            "fax_number": "713-351-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY",
            "address_2": "SUITE 380",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783845",
            "telephone_number": "281-565-3569",
            "fax_number": "281-565-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLETREE",
        "first_name": "CARL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H3629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034553001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.